Infracoccygeal sacropexy for uterovaginal prolapse.
OBJECTIVE
To report on the efficacy and safety of infracoccygeal sacropexy for the treatment of uterovaginal prolapse.


METHODS
A retrospective analysis of 87 women who underwent an infracoccygeal sacropexy procedure, 53 receiving a multifilament and 34 receiving a monofilament tape.


RESULTS
The mean follow-up was 27 months. Postoperative perineal pain was reported by 7 women (10%), and dyschesia and dyspareunia were observed de novo in 4 (5%) and 5 women (6%), respectively. There were 5 cases (9%) of vaginal extrusion and 9 cases (18%) of prolapse recurrence in the multifilament tape group, and in the monofilament tape group there were no cases of vaginal extrusion and 4 cases (14%) of prolapse recurrence (P=0.79 for prolapse recurrence). The recurrence-free survival curves of the 2 groups were similar. Univariate analysis revealed no independent factors of recurrence.


CONCLUSIONS
Although infracoccygeal sacropexy was found to be associated with few prolapse recurrences, complications were not rare.
Deffieux
Xavier
X
Université Paris-Sud, Unité mixte de recherche (UMR) S0782, Clamart, France. xavier.deffieux@abc.aphp.fr
Desseaux
Krystel
K
de Tayrac
Renaud
R
Faivre
Erika
E
Frydman
René
R
Fernandez
Hervé
H
D000368:Aged; D018572:Disease-Free Survival; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D053825:Suburethral Slings / Q000009:adverse effects*; D013520:Urologic Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D014596:Uterine Prolapse / Q000601:surgery*